Organization Active NPI

Optimum Mental Health

  • Mental Health Counselor
  • West Chester, PA
National Provider Identifier
1164831640
Registry record updated Aug 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC007293 Issued in PA
Legal business name
OPTIMUM MENTAL HEALTH
Practice address
117 W Gay St
Suite 110
West Chester, PA 19380-2932
Phone
(484) 551-8841
NPI assigned
Aug 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Deanna NA, LPCNPI 1154737054
Title
Psychotherapist
Phone
(484) 551-8841

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X PC007293 PA Primary

Addresses

Primary practice location

117 W Gay St
Suite 110
West Chester, PA 19380-2932

Mailing address

123 West Gay Street
Suite 110
West Chester, PA 19380
Phone (484) 551-8841

National Provider Directory

National Provider Directory

Locations

123 W Gay St
Ste 110
West Chester, PA 19380

117 W Gay St
Ste 110
West Chester, PA 19380
Phone (414) 367-9337

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407456000000",
    "number": "1164831640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 WEST GAY STREET",
            "address_2": "SUITE 110",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "19380",
            "telephone_number": "484-551-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W GAY ST",
            "address_2": "SUITE 110",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193802932",
            "telephone_number": "484-551-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-08",
        "last_updated": "2014-08-08",
        "status": "A",
        "authorized_official_last_name": "NA",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "484-551-8841",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC007293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.